THE JACKSON GROUP, LLC (NPI# 1639694763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639694763 |
| Entity Type | Organization |
| Organization Name | THE JACKSON GROUP, LLC |
| Other Organization Name | LAUGHTER IN YOUR BELLY WELLNESS |
| Practice Address |
3608 President Davis Dr Baton Rouge LA 70816-2947 |
| Practice Telephone | 2254216772 |
| Practice Fax Number | 2253088909 |
| Mailing Telephone | 2254216772 |
| Mailing Fax Number | 2253088909 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | ROLANDA GAYLE YOUNG (OWNER) |
| Authorized Official Telephone | 2254216772 |
| Authorized Official Credential | JD, NMP, QRA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335G00000X | Medical Foods Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Laughter in Your Belly Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | THE JACKSON GROUP, LLC | 86 At Water Road, Canton, CT 06019 |
| Street Address |
3608 PRESIDENT DAVIS DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 335G00000X |
| Grouping | Suppliers |
| Classification | Medical Foods Supplier |
| A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies. |
| Notes: Source: The Children with Special Healthcare Needs (CSHCN) Services Program, a program of the Texas Department of State Health Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386105419 | Joyce G Williams | Medical Foods Supplier | 154 Williams Trl, Plain Dealing, LA 71064-4238 | 2019-03-29 |
| 1346586583 | Icare Pharmacy LLC | Medical Foods Supplier | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on THE JACKSON GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.